Active NPI
Michael McNeil
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1912423971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT026067
- Practice address
- 169 W Durham St
Philadelphia, PA 19119-2433 - Phone
- (267) 551-0141
- NPI assigned
- Aug 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01750500 | NJ | |
| Physical Therapist | 225100000X | PT026067 | PA | Primary |
Addresses
Primary practice location
169 W Durham St
Philadelphia, PA 19119-2433
Mailing address
169 W Durham St
Philadelphia, PA 19119-2433
Phone (267) 551-0141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, HI
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01750500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pakolea LLC | Physical Therapist | Current | Accepting new patients |
| Pennsylvania Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Pursuit Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Fitlife Fitness & Aquatics, Incorporated | Physical Therapist | Current | Accepting new patients |
| Esser Corp | Physical Therapist | Past | Accepting new patients |
| PMR Medical and Diagnostic, PC | Past | Accepting new patients |
Locations
194 Kilauea Ave
Apt 102
Hilo, HI 96720
Phone (808) 935-5255
740 Kilauea Ave
Hilo, HI 96720
Phone (808) 333-3420
300 Welsh Rd
Bldg 1
Horsham, PA 19044
7140 Germantown Ave
Philadelphia, PA 19119
Phone (215) 753-8910
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1124105473
Physical Therapist
-
- Physical Therapist
- Horsham, PA
- NPI 1528689445
-
- Physical Therapist
- Philadelphia, PA
- NPI 1427822790
-
- Physical Medicine & Rehabilitation Physician
- Huntingdon Valley, PA
- NPI 1811167224
-
- Physical Therapist
- Hilo, HI
- NPI 1104943554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1912423971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 W DURHAM ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191192433",
"telephone_number": "267-551-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 W DURHAM ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191192433",
"telephone_number": "267-551-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEIL",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-21",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01750500",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.